Therese Marie Koussa, CCC-A
NPI #1447302278 in Newton, Massachusetts
Provider Information
- NPI Number
- 1447302278
- Entity Type
- Individual
- Name
- Therese Marie Koussa, CCC-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Audiologist
- Credential
- CCC-A
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 25 NEEDHAM ST
- City
- Newton
- State
- Massachusetts
- ZIP Code
- 02461-1615
- Phone
- (617) 964-6681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Audiologist |
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